Due to the high cost of the procedure, the need for hospitalization, general anesthesia and higher complications risks, ovarian drilling presents low cost effectiveness compared with gonadotropin plus timed intercourse. Moreover, the lack of standardization of the surgical technique and the absence of studies that have evaluated the repercussions of long-term of ovarian drilling demonstrate that this procedure should not be routinely performed but should only be considered as second line of therapy in women with PCOS who will be undergoing laparoscopy for another reason (adnexal mass or pelvic pain, for example). Additionally, ovarian drilling could be an alternative before the assisted reproduction treatment (ART) in individuals without financial conditions for the realization of ART and those who are resistant to CC.
What are the health benefits of kale? Kale is a leafy green vegetable featured in a variety of meals. With more nutritional value than spinach, kale may help to improve blood glucose, lower the risk of cancer, reduce blood pressure, and prevent asthma. Here, learn about the benefits and risks of consuming kale. We also feature tasty serving suggestions. Read now
“When we compared participants with women in the general population, we found significantly higher scores on all of the symptoms evaluated and on corresponding psychological distress measures, particularly for anxiety, depression, somatization (the conversion of psychological distress to physical symptoms), and interpersonal sensitivity,” says lead author Judy McCook, PhD, RN, professor of nursing at East Tennessee State University.
Dok goodevening po may pcos po ako pinainum po ako dati ng ob kp ng metformin at clomid saka folic acid po posible po ba kaya na mabuntia na po akO. At ok lang po ba pasabayin ko ung gamot na po un? 6Months ko na po kaso di nakakausap ob ko kasi po nandito ako sa saudi dinala po ako ng asawa ko dito para po sakali makabuo na kamo salamat po sana po masagot nyo po question ko. Godbless
Although metformin is not approved by the FDA for treatment of PCOS, many doctors prescribe it for PCOS patients. Metformin is a medicine that makes the body more sensitive to insulin. This can help lower elevated blood glucose levels, insulin levels, and androgen levels. People who use metformin may lose some weight as well. Metformin can improve menstrual patterns, but metformin doesn’t help as much for unwanted excess hair.
96. Glintborg D, Frystyk J, Højlund K, Andersen KK, Henriksen JE, Hermann AP, Hagen C, Flyvbjerg A, Andersen M. Total and high molecular weight (HMW) adiponectin levels and measures of glucose and lipid metabolism following pioglitazone treatment in a randomized placebo-controlled study in polycystic ovary syndrome. Clin Endocrinol (Oxf) 2008;68:165–174. [PubMed]
i'm guessing Luna knows two different Pats. one Pat is Patricia Allen, the one who is rlyblonde' mom who has also been buying her groceries and shit. and the other Pat is the woman with cancer. but i don't know. i just don't think rlyblonde's mom is the same pat as the cancer pat, i haven't seen anything that would insinuate Patricia Allen once had cancer or worked with Luna
As many as 70% of PCOS women are insulin resistant and 10% have DM[20-22]. In PCOS women with normal glucose metabolism initially, the rate of conversion to abnormal glucose metabolism can be 25% over just three years[23]. More alarming, insulin abnormalities are highly prevalent in adolescents with PCOS[24]. Almost 20% of young Thai women with PCOS actually have DM[25]. Overall, normal glucose levels on an OGTT do not predict IR and IR, despite normal glucose levels, is correlated with CRP, dyslipidemia and other CAD risk factors[26]. Therefore, glucose levels alone lack the sensitivity to predict metabolic risk in PCOS patients. Precursor states of insulin abnormalities likely predict long term CAD risk well before glucose abnormalities. IR can be just as severe in diabetics and non-diabetics[27], stressing the seriousness of this metabolic impairment as a precursor and not a separate disease. Animal models have shown that IR alone damages myocardial cells, providing direct evidence of end organ disease[28]. Human data link HOMA-IR to left ventricular dysfunction[29]. Abnormal glucose metabolism short of IGT and DM still deserves attention, identification and treatment[30].
You can lose weight by exercising regularly and having a healthy, balanced diet. Your diet should include plenty of fruit and vegetables, (at least five portions a day), whole foods (such as wholemeal bread, wholegrain cereals and brown rice), lean meats, fish and chicken. Your GP may be able to refer you to a dietitian if you need specific dietary advice.

Androgens. All females make androgens (also referred to as “male hormones”), but there are often higher levels of androgens in women with PCOS. The excess androgens are produced mostly by the ovaries, but the adrenal glands can also be involved. Excess androgens are responsible for many PCOS symptoms including acne, unwanted hair, thinning hair, and irregular periods.

Side effects: Since licorice is one of the most widely used herbs there is a great deal of research into the possible side effects as well. It is definitely not recommended for long-term use because extended exposure may cause fluid retention, high blood pressure and potassium depletion. Some minor side effects may include upset stomach, headache, missed periods and fatigue. You should not take licorice if you are pregnant, breast feeding or have high blood pressure.
Though surgery is not commonly performed, the polycystic ovaries can be treated with a laparoscopic procedure called "ovarian drilling" (puncture of 4–10 small follicles with electrocautery, laser, or biopsy needles), which often results in either resumption of spontaneous ovulations[74] or ovulations after adjuvant treatment with clomiphene or FSH.[citation needed] (Ovarian wedge resection is no longer used as much due to complications such as adhesions and the presence of frequently effective medications.) There are, however, concerns about the long-term effects of ovarian drilling on ovarian function.[74]
A polycystic ovary is defined as an ovary containing 12 or more follicles (or 25 or more follicles using new ultrasound technology) measuring 2 to 9 mm in diameter or an ovary that has a volume of greater than 10 mL on ultrasonography. A single ovary meeting either or both of these definitions is sufficient for diagnosis of polycystic ovaries.23,25 However, ultrasonography of the ovaries is unnecessary unless imaging is needed to rule out a tumor or the patient has met only one of the other Rotterdam criteria for PCOS.19,26 Polycystic ovaries meeting the above parameters can be found in as many as 62% of patients with normal ovulation, with prevalence declining as patients increase in age.27
Any lawfags here that can help us out understanding this? From what I roughly gather he's only had Pre-Arraignment so today would be a formal Arraignment deciding whether or not to ask for bail. But his court info says he's already been given ROR so it seems pointless now to come back and decide whether or not to ask for bail or take him to Rikers.
Los complementos alimenticios no deben utilizarse como sustitutos de una dieta variada, equilibrada y de un estilo de vida saludable. No superar la dosis diaria recomendada. Si está  pensando en tomarlo consulte antes con su médico. Mantener fuera del alcance de los niños más pequeños. Conservar en un lugar fresco y seco, protegido de la luz solar y las fuentes de calor. Consumir preferentemente antes de la fecha indicada en el envase.

Your health care provider will ask you a lot of questions about your menstrual cycle and your general health, and then do a complete physical examination. You will most likely need to have a blood test to check your hormone levels, blood sugar, and lipids (including cholesterol). Your health care provider may also want you to have an ultrasound test. This is a test that uses sound waves to make a picture of your reproductive organs (ovaries and uterus) and bladder (where your urine is stored). In girls with PCOS, the ovaries may be slightly larger (often >10cc in volume) and have multiple tiny cysts.

Chromium is an essential mineral that helps the body regulate insulin and blood sugar levels. Some research suggests that chromium supplements can help people with diabetes lower their blood glucose levels. One study examined the role of the mineral in women with PCOS. The results indicated that 200 mcg daily of chromium picolinate significantly reduced fasting blood sugar and insulin levels in subjects — enough that the effects were comparable to the pharmaceutical, metformin. While metformin was also associated with lower levels of testosterone, taking a daily dose of 200 mcg of chromium picolinate could help regulate blood sugar levels.
Es posible que el médico también te pida un análisis de sangre para diagnosticar un síndrome de ovario poliquístico u otras afecciones, como los problemas de la tiroides, de los ovarios o de otras glándulas. Los análisis de sangre permiten medir las concentraciones de andrógenos, insulina y otras hormonas. Los resultados de estas pruebas pueden ayudar a los médicos a determinar el tipo de tratamiento que debes recibir.
Metformin(Glucophage) is a medication used to treat type 2 diabetes. This drug affects the action of insulin and is useful in reducing a number of the symptoms and complications of PCOS. Metformin has been shown to be useful in the management of irregular periods, ovulation induction, weight loss, as well as the prevention of type 2 diabetes and gestational diabetes mellitus in women with PCOS.
Chaste berry (Vitex agnus-castus): This herb has been used for centuries for hormone imbalances and is considered an adaptogen. Chaste berry is one of the most common herbs used to treat PCOS because it helps to stimulate and stabilize the function of the pituitary gland. The pituitary gland is responsible for the release of luteinising hormone which can reduce the level of estrogen and androgen levels while raising progesterone levels.
Mastodynon® additionally contains herbal extracts of Caulophyllum thalictroides, Lilium majus, Cyclamen, Ignatia and Iris. Reasons were as follows; 4 due to drug reactions and 15 due to pregnancy. 15 women conceived in the treatment group compared to 8 in placebo group in the first 3 months (while women were treated). Inconsistencies in data assessment include the recommendation for treatment with Mastodynon over 3–6 months yet it was tested for 3 months.
Your doctor or nurse will look at your skin and measure your weight and blood pressure. They’ll ask questions about your period, any symptoms you may be having, and your personal and family health history. They may do a pelvic exam and blood tests to check your hormone levels, whether you may be pregnant, and more. In some cases, your doctor or nurse may recommend getting an ultrasound to check for ovarian cysts.  

Hola, hace 3 años me quitaron unos pólipos del endometrio y me diagnosticaron ovarios poliquísticos me han tratado tengo bastante sobrepeso perdí 17 kg y los volví a recuperar mi ginecólogo me recomendó tomar metformina y inofolic fert desde septiembre del año pasado estoy tomando el inofolic fert porque el dianben lo tuve que dejar ya que los efectos secundarios eran tener muchas diarreas y también padezco de colon irritable con lo cual me estaba haciendo bastante daño ahora mismo llevo 5 meses sin regla y me gustaría saber, sí el PCOS, me podría ayudar en mi caso


Cirugía. La intervención quirúrgica también es una opción y generalmente se recomienda solo si las otras opciones no generan resultados. La capa exterior de los ovarios (llamada corteza) se vuelve más gruesa en el caso de las mujeres con SOP y se cree que esto puede estar relacionado con la anulación de la ovulación espontánea. La incisión ovárica es una cirugía en la cual el médico realiza varias "perforaciones" en la superficie del ovario mediante láser o con una aguja muy fina la cual se calienta con electricidad. La cirugía suele restablecer la ovulación, pero solo durante 6 a 8 meses.
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Randomisation for 206 women 12 were excluded due to failure to respond (treatment group n = 7, control n = 5). 2. Endometrial thickness monitored by ultrasound. Endometrial thickness in the clomiphene alone group was 8.5 mm (±1.9) compared to 12.9 (±2.3) in the clomiphene plus Cimicifuga racemosa group (p < 0.001). The miscarriage rate per pregnancy for the clomiphene alone group was 5 out of 33 (15.2%) and 6 out of 71 (8.5%) in the clomiphene plus Cimicifuga racemosa group.
The study evaluated psychological symptoms in 126 women diagnosed with PCOS. Participants completed surveys using a standard tool for evaluating mental health, the Brief Symptom Inventory (BSI), and their responses were compared with those of adult women in the general population and of adult women undergoing outpatient psychiatric care. While small, and not a randomized controlled trial, the study offers insight into the psychiatric manifestations of different PCOS symptoms, Reame says. Body hair and menstrual problems most strongly predicted anxiety, while obesity was most strongly associated with hostility, the study found.
One of the biggest challenges in reviewing the evidence for PCOS treatment is that many manifestations of the condition may be components of other disease processes. For example, there may be a study of medications that are useful for hirsutism, but the patient population in the study did not explicitly have PCOS. Thus, recommendations specific for treating symptoms of PCOS may be lacking. When reviewing a study of the treatment of insulin resistance in a general population, it cannot be assumed that the outcomes would mirror those in women with PCOS.

Your health care provider will ask you a lot of questions about your menstrual cycle and your general health, and then do a complete physical examination. You will most likely need to have a blood test to check your hormone levels, blood sugar, and lipids (including cholesterol). Your health care provider may also want you to have an ultrasound test. This is a test that uses sound waves to make a picture of your reproductive organs (ovaries and uterus) and bladder (where your urine is stored). In girls with PCOS, the ovaries may be slightly larger (often >10cc in volume) and have multiple tiny cysts.
Side effects: Since licorice is one of the most widely used herbs there is a great deal of research into the possible side effects as well. It is definitely not recommended for long-term use because extended exposure may cause fluid retention, high blood pressure and potassium depletion. Some minor side effects may include upset stomach, headache, missed periods and fatigue. You should not take licorice if you are pregnant, breast feeding or have high blood pressure.

“There are very good fertility options for PCOS women that have been well studied with randomized clinical trials,” says Dunaif. If a woman wants to become pregnant, her doctor may prescribe oral medication that work very well to induce ovulation, like clomid or letrozole (traditionally a breast cancer treatment but is now also used off-label to stimulate ovulation). Injectable gonadotrophins may also be used, as well as in vitro fertilization (IVF).
Azziz R; Woods KS; Reyna R; Key TJ; Knochenhauer ES; Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab 2004 Jun;89(6):2745-9. Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004 Jan;81(1):19-25.
Your health care provider will ask you a lot of questions about your menstrual cycle and your general health, and then do a complete physical examination. You will most likely need to have a blood test to check your hormone levels, blood sugar, and lipids (including cholesterol). Your health care provider may also want you to have an ultrasound test. This is a test that uses sound waves to make a picture of your reproductive organs (ovaries and uterus) and bladder (where your urine is stored). In girls with PCOS, the ovaries may be slightly larger (often >10cc in volume) and have multiple tiny cysts.

This thread fucks me up. I feel so much pity and sadness for this poor girl. Sort of hits close to home, when I turned 18 I moved in with a boy and got really sick and hooked on drugs for 2 years. I left him and got better, never did I ever get as bad as Luna but it could have happened had I been complacent like she is. I hope she finds the courage to leave. I think there's still beauty and potential underneath all the grime and illness, I even like her art sometimes and wish she'd spend more time on her paintings instead of on drugs. Lurch should be in prison for destroying this poor girl before she even had a chance. Sage for blog post.(USER HAS BEEN PUT OUT TO PASTURE)
Positive effects for Vitex agnus-castus in oligo/amenorrhoea and infertility was demonstrated in three placebo controlled RCTs [61, 62, 64]. In a study including women with menstrual irregularity and infertility (n = 96), menstrual cyclicity was significantly improved for women treated with Vitex agnus-castus (Mastodynon® 30 drops per day for three months) compared to placebo (p = 0.023) [61] (Table 2). Another study, including women with sub fertility (n = 67), showed improved menstrual cyclicity for a sub-group of women with oligomenorrhoea following treatment with Vitex agnus-castus (Phyto-Hypophyson® 7.5 ml per day) compared to placebo, (p = 0.023) [62] (Table 2). A third study including women with hyperprolactinaemia (n = 37) demonstrated improved menstrual cyclicity by an increased average number of luteal days from 3.4 days (±5.0) to 10.5 days (±4.3) (p < 0.005) following treatment with Vitex agnus-castus (Strotan® 20 mg per day) for three months. The placebo group reported average number of days in the luteal phase was 3.4 (±5.1) at baseline and 5.5 (±5.2) at three months, which was not significant (p = 0.22) [64] (Table 2). Methodological shortcomings included not reporting baseline characteristics for subgroups and small sample sizes; however clinical outcomes demonstrated physiological effects consistent with laboratory and animal findings (Tables 1 and ​and22).
Dr. Victor Luna completed his medical education at Escuela Autonoma de Ciencias Medicas de Centroamerica in San Jose, Costa Rica. He then participated in an internship at LSU Health Science Center where he later completed his residency in Internal Medicine where he served as the chief resident for his final year. Dr. Luna continued his education by completing a fellowship at University of South Florida.
A 2-hour oral glucose tolerance test can be easily performed to assess the risk of diabetes in a PCOS woman. If necessary, prevention of diabetes may require lifestyle management with weight loss, diet and exercise, and possibly the addition of insulin-sensitizing agents such as metformin, or other medications. Fasting lipid measurements in the blood also can be performed to predict the risk for future cardiovascular disease and may likewise require lifestyle management, along with oral statins and other medications to correct increased triglyceride and low-density lipoprotein (LDL)-cholesterol levels and/or decreased high-density lipoprotein cholesterol (HDL-C) levels.
Insulin-sensitizing agents, including metformin,31 acarbose (Precose),24 and rosiglitazone (Avandia),20 may be used to treat hirsutism in women with PCOS. Spironolactone22 and rosiglitazone32 have been shown to be more effective than metformin, based on Ferriman-Gallwey hirsutism scores. A Cochrane review suggested that metformin is as effective as oral contraceptives for treating hirsutism in women with PCOS,33 but in contrast, a recent systematic review suggested that metformin is not effective.1 Topical eflornithine cream is FDA-approved for management of unwanted facial hair, but there are no published data regarding its use specifically in women with PCOS. Sibutramine (Meridia), which is approved for obesity management, can also improve hirsutism.26

Hola, actualmente estoy tomando diane diario por que son las únicas anticonceptivas que me funcionan, no puedo dejarlas porque si no padezco de acne severo e hirsutismo. Podría combinar ambas cosas? Lo que me gustaría es poder dejarme las pastillas algunos períodos, o si por ejemplo quisiera ser madre, poder dejar los métodos anticonceptivos y no tener que pasarlo mal por esos problemas, se conseguiría con estas cápsulas a largo plazo?
Metformin, an antidiabetic drug, improves insulin resistance and decreases hyperinsulinemia in patients with PCOS. [68] This drug also has a small but beneficial effect on metabolic syndrome, as well as potentially causing a modest reduction in androgen levels (11%). [4] Note that women with a body mass index (BMI) greater than 37 kg/m2 may not have a good response to metformin. [4] An Italian study of 33 patients with PCOS demonstrated that metformin affected thyroid hormone by lowering thyroid-stimulating hormone (TSH) in hypothyroid patients with PCOS, regardless of whether these individuals received levothyroxine or were untreated. [69]

Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities. Even a modest reduction in your weight — for example, losing 5 percent of your body weight — might improve your condition. Losing weight may also increase the effectiveness of medications your doctor recommends for PCOS, and can help with infertility.
hi po dok..lst december2015 nag pa check.up po ako kc almost 4moths po ako d dinadatnan akala ko po buntis ako but,,my ob siad im not pregnant 🙁 pcos dawpo ako kaya pinag take ako ng provera for 5days after po nun dinatnan ako for 7days…then after po nun pinagtake ako ng gynera pills but until now po di pa ako dinandatnan..almost 2months na po..need ko na pu ba mag follow up sa ob ko..tnz po
Simple calorie-burning mga gawain tulad ng paglalakad, paglangoy o pagbibisikleta ay maaaring maging kapaki-pakinabang masyadong. Ang mga gawaing ito ay maaaring makatulong sa iyo na malaglag off labis na timbang. Ito rin ay nagtataguyod ng pagiging sensitibo sa insulin. Basta ilagay sa isip na hindi resort sa mga gawain na maaaring maging sanhi ng labis na pilay sa iyong katawan at / o pagkaubos.
You just found out you have polycystic ovary syndrome (PCOS). Now what? The condition, which affects five million women in the U.S. alone, can wreak havoc on your hormones and still doesn’t have a known cure. While many women successfully manage their symptoms solely with medication and hormone therapy, some prefer to supplement traditional treatments with more holistic remedies, while some opt for entirely natural alternatives.

Algunas chicas que padecen un síndrome de ovario poliquístico se deprimen; en estos casos, puede serles de ayuda hablar con un terapeuta u otro profesional de la salud mental. Hablar con otras adolescentes y con mujeres de más edad que padecen la misma afección es una buena forma de compartir información sobre su tratamiento y de obtener apoyo. Tu médico te puede recomendar un grupo de apoyo en tu localidad.


Nope, it was definitely her, I can't forget it. On tumblr sometime earlier last year she kept posting these depressed frantic posts about that sad disgusting old crackhead guy she loves so much and is like her only family. hes always so sick and slowly dying, she felt responsible for not being able to provide for or truly help him like he "helped" her (i suspect he just gives her drugs). there was a pic of the ambulance, her crying in the ER, and the huge bill and everything. she deleted everything within hours of posting, I guessed it was the embarrassment, but those went around in reblogs for a long time. She's always covered in a layer of filth and on her tumblr there was a pic of her doing drugs outside in the winter wearing a holey mini skirt with freshly open track marks on a swingset with a caption like "I can't even get high anymore but I'm scared withdrawal would kill me". It just made me wanna cry and I gave her the $5 even though I knew she would just use it for more drugs. Is that enabling?
It's good to know I'm not alone with having pcos. I found out when I was 18 years old. When I was gr...owing up and in puberty I never had my period. I remember girls around me complaining about there's in high school. But mine never came. I went to a obgyn when I was 16 she gave me meds to get it started, it only worked when I took the med every 3 months. They also did an ultrasound and found multiple cysts on my ovaries, but she did not know what it was. So I never went back to that doctor she was not very bright. But when I was 18 I was reading a magazine about a girl that has pcos and the symptoms and everything, and it sounded like me. So i went to My mom's obgyn and talked to him about what I read and my history of not getting my period on my own, he did an exam, ran some blood tests, and did other ultrasound. Come to find out I have pcos and was put on birth control and metformin. Which I'm still taking and it's been 11 years since I found out I have pcos. See More
Reglan Active ingredient: metoclopramide $0.37 for pill Reglan is used for short-term treatment of gastroesophageal reflux disease (GERD) in certain patients who do not respond to other therapy. It is used to treat symptoms of a certain digestive problem in diabetic patients (diabetic gastroparesis). Prilosec Active ingredient: omeprazole $0.49 for pill Prilosec relieves symptoms of gastroesophageal reflux disease decreasing the amount of acid in the stomach.
2-Hour oral glucose tolerance test (GTT) in women with risk factors (obesity, family history, history of gestational diabetes)[17] may indicate impaired glucose tolerance (insulin resistance) in 15–33% of women with PCOS.[62] Frank diabetes can be seen in 65–68% of women with this condition.[citation needed] Insulin resistance can be observed in both normal weight and overweight people, although it is more common in the latter (and in those matching the stricter NIH criteria for diagnosis); 50–80% of people with PCOS may have insulin resistance at some level.[17]
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